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Fixed mandibular implant after microvascular mandibular reconstruction

K K Li1, M L Cheney, R E Gliklich

  • 1Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, USA.

Archives of Otolaryngology--Head & Neck Surgery
|December 1, 1996
PubMed
Summary

Fixed mandibular implants effectively retain prostheses after microvascular reconstruction. This safe and successful treatment option ensures mandibular integrity and improves patient outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Dentistry
  • Implantology

Background:

  • Microvascular mandibular reconstruction is complex, often requiring stable prosthetic retention.
  • Maintaining mandibular integrity post-resection is crucial for function and aesthetics.

Purpose of the Study:

  • To evaluate the efficacy and safety of fixed mandibular implants for prosthetic retention.
  • To assess implant stability and mandibular integrity following reconstruction.

Main Methods:

  • A case series design was employed at a tertiary referral center.
  • Eight patients underwent microvascular mandibular reconstruction followed by fixed implant placement.
  • Outcomes included functional results, radiographic evidence, and complication assessment.

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Main Results:

  • All 8 fixed mandibular implants were successfully placed and demonstrated stability.
  • The mean follow-up period was 14.3 months (range: 10-21 months).
  • No major complications were reported.

Conclusions:

  • Fixed mandibular implants are a safe and effective option for retaining dental prostheses.
  • This approach supports mandibular integrity after microvascular reconstruction.
  • Implants provide a stable foundation for prosthetic rehabilitation in these patients.